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Ann Thorac Surg 2008;85:1828-1836. doi:10.1016/j.athoracsur.2008.01.015
© 2008 The Society of Thoracic Surgeons
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Willem J.L. Suyker
Cornelius Borst
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Right arrow Coronary disease

Review

Coronary Connector Devices: Analysis of 1,469 Anastomoses in 1,216 Patients

Willem J.L. Suyker, MDa,*, Cornelius Borst, MD, PhDb

a Division of Cardiothoracic Surgery, Isala Klinieken, Zwolle, the Netherlands
b Heart Lung Center, University Medical Center Utrecht, Utrecht, the Netherlands

* Address correspondence to Dr Suyker, Isala Klinieken, PO Box 10500, 8000 GM Zwolle, the Netherlands (Email: w.suyker{at}isala.nl).

Automated coronary anastomotic devices could be the key to limited or port access procedures. To evaluate their clinical performance to date, 33 studies that included systematic elective angiographic imaging were reviewed, reporting on five proximal and seven distal devices. Marked outcome differences between the technologies were uncorrelated to study type and demographic, operative, and follow-up variables. Significant issues included graft thrombosis, graft kinking, and stenosing intimal hyperplasia inside the connector, limiting clinical applicability of at least three devices. Substantial equivalence to 1-year conventional anastomotic patency standards was found for selected anastomotic devices, which holds the promise of expanded applicability.




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[Abstract] [Full Text] [PDF]


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